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POSITIVE CHANGE TRANSPORTATION LLC NPI 1760875959


NPI Information

NPI: 1760875959
Provider Name: POSITIVE CHANGE TRANSPORTATION, LLC
Classification: Non-emergency Medical Transport (VAN) - 343900000X
Entity Type: Organization

CLIA Number: 19D2210497

Address:
348 W 79TH ST
SHREVEPORT, LA
ZIP 71106
Phone: (318) 688-8192
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POSITIVE CHANGE TRANSPORTATION, LLC is a non emergency medical transport van in Shreveport, LA. The provider is a land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. POSITIVE CHANGE TRANSPORTATION, LLC NPI is 1760875959. The provider is registered as an organization entity type.

The provider's business location address is:

348 W 79TH ST
SHREVEPORT, LA
ZIP 71106-820
Phone: (318) 688-8192
Fax: (318) 688-8193

The provider's authorized official is Marty Tyrone Johnson .
The authorized official title is Owner and has the following contact phone number (318) 779-8527.

The CLIA number assigned to this NPI record is 19D2210497 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/11/2015 and was last updated on 3/11/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1343900000XNon-emergency Medical Transport (VAN)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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